DR. MICHAEL THOMAS JACOBSON (NPI# 1902016504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902016504 |
Entity Type | Individual |
Full Name | DR. MICHAEL THOMAS JACOBSON |
Credential | M.D. |
Practice Address |
4771 S Cleveland Ave Fort Myers FL 33907-1317 |
Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
Practice Telephone | 2393439800 |
Practice Fax Number | 2393439848 |
Mailing Telephone | 2394241400 |
Mailing Fax Number | 2394241421 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2016-11-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
4301053117 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700406477 | Michael Pescatore Jacobson | Student in an Organized Health Care Education/Training Program | 8906 Maribou Ct, Highlands Ranch, CO 80130-3315 | 2020-04-22 |
1275947509 | Michael Jacobson | Dentist | 1101 N Hillcrest Rd, Beverly Hills, CA 90210-2614 | 2014-06-14 |
1609966142 | Michael Andrew Jacobson | Chiropractor | 3201 N 3rd St, Phoenix, AZ 85012-2631 | 2006-10-13 |
1366442600 | Michael Jacobson | Otolaryngology | 5408 Discovery Park Blvd, Suite 300, Williamsburg, VA 23188-2893 | 2005-07-28 |
1689870289 | Michael Evan Jacobson | Emergency Medicine | 8303 Dodge St, Omaha, NE 68114-4108 | 2007-06-21 |
1639390651 | Michael Duane Jacobson | Family Medicine | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2007-05-01 |
1649352964 | Michael A Jacobson | Dermatology | 1051 Long Ridge Rd, Stamford, CT 06903-4436 | 2006-10-19 |
1891884185 | Michael Jacobson | Psychiatry & Neurology | 1 Nolte Dr, Kittanning, PA 16201-7111 | 2006-10-12 |
1831284249 | Michael Brian Jacobson | Pediatrics | 250 E Chase Ave, Suite 108, El Cajon, CA 92020-6305 | 2006-10-03 |
1316044563 | Michael Jacobson | Internal Medicine | 1421 3rd Ave, Ph, New York, NY 10028-1802 | 2006-09-20 |
Street Address |
4771 S CLEVELAND AVE |
City | FORT MYERS |
State | FL |
Zip Code | 33907-1317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396744827 | Andrew H Singh | Preventive Medicine | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2005-07-18 |
1235789926 | Angela Battig | Physician Assistant | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2019-09-16 |
1013422716 | Alex Leyon Lagodzinski | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2017-12-05 |
1508395633 | Maria Elisa Marconi | Physician Assistant | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2017-06-12 |
1669924452 | Stacy Parker | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2016-10-27 |
1356893499 | Heidi Alexander | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2016-10-25 |
1083072094 | Susan Whatley | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2016-02-04 |
1740658368 | Brittanee Donovan | Physician Assistant | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2015-09-14 |
1164823043 | Sarah Mcgregor | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2014-09-10 |
1740697978 | Lee Memorial Health System | General Practice | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2014-07-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
Find all providers in zip 33907 |
Taxonomy Code | 207QA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adolescent Medicine |
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
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1932408648 | Liliam Hernandez Md Pa | Family Medicine | 15380 Sw 57th Ter, Miami, FL 33193-2515 | 2011-03-21 |
1164609210 | Lee Brown | Family Medicine | 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 | 2008-01-30 |
1720117690 | Parmanand Vijay Poonai | Family Medicine | 103 Sunset Cir, Port St Joe, FL 32456-2115 | 2007-03-05 |
1114032109 | Carl F Dennison | Family Medicine | 3035 E Commercial Blvd, Ft Lauderdale, FL 33308-4347 | 2006-08-20 |
1508970989 | Rita Garulli Chidiac | Family Medicine | 2100 Ne 36th St, Suite 101, Lighthouse Point, FL 33064-7574 | 2006-08-19 |
1871524181 | Deborah Anne Weyer | Family Medicine | 1658 St Vincent's Way, Suite 320, Middleburg, FL 32068-8459 | 2006-07-05 |
1164472627 | Harold Silberman | Family Medicine | 370 Minorca Ave, 2nd Floor, Primecare of Coral Gables, Coral Gables, FL 33134 | 2006-05-12 |
1144212135 | Orlon Vere Carr IIi | Family Medicine | 210 Jupiter Lakes Blvd Ste 5103, Jupiter, FL 33458-7192 | 2005-08-17 |
1063028850 | Carline Grand-pierre | Family Medicine | 3155 Lake Worth Rd Ste 2, Palm Springs, FL 33461-6917 | 2020-09-17 |
1912462771 | Parabrahma Pa | Family Medicine | 6100 Greenland Rd Ste 301, Jacksonville, FL 32258-2626 | 2019-02-06 |
Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33907 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.